Individual
MARTIN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9839 SOUTHWEST HWY, OAK LAWN, IL 60453-3672
(708) 422-0004
Mailing address
14252 WITTINGTON CT, ORLAND PARK, IL 60462-2989
(708) 420-6317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034314
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
12/08/2025
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